Smaranda Diaconescu

Latest posts by Smaranda Diaconescu (see all)

ASPECTE PRIVIND CONTRACEPTIA SI SANATATEA REPRODUCERII LA ADOLESCENTELE OBEZE - 03/11/2016
ASPECTS OF CONTRACEPTION AND REPRODUCTIVE HEALTH IN OBESE ADOLESCENT GIRLS - 03/11/2016
DIAGNOSTIC SI TRATAMENT IN BOALA DE REFLUX GASTROESOFAGIAN – POSIBILITATI SI LIMITE - 03/11/2016

Articole semnate de acelasi autor in Revista Romana de Pediatrie:

ASPECTE PRIVIND CONTRACEPTIA SI SANATATEA REPRODUCERII LA ADOLESCENTELE OBEZE

Revista Romana de PEDIATRIE | Volumul LXV, Nr. 3, An 2016

ISSN 1454-0398 | e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

ICMJE- Recommendations

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Promoting Global Health

The published medical research literature is a global public good. Medical journal editors have a social responsibility to promote global health by publishing, whenever possible, research that furthers health worldwide.

Ingrith Miron, Laura-Mihaela Trandafir, Madalina Ionela Chiriac, Oana Chirila, Oana Teslaru and Smaranda Diaconescu

REZUMAT

Sarcinile nedorite reprezintă o problemă serioasă a morbidităţii în anii adolescenţei, utilizarea contraceptivelor fiind un element de prevenţie la această vârstă. Adolescentele obeze tind să folosească mai puţin metode contraceptive decât cele cu o greutate normală, excesul de greutate fiind des folosit ca motiv pentru neutilizarea metodelor contraceptive. Acestea au o probabilitate crescută de a avea sarcini nedorite asociate cu toate riscurile gravidităţii şi naşterii la o vârstă fragedă, având totodată nevoie de metode mai sigure şi eficiente de contracepţie. Scăderea numărului de sarcini la această categorie este o prioritate a sănătăţii publice şi impune detectarea adolescentelor aflate în categoria de risc. Deşi există opinii împotriva contracepţiei din cauza efectelor adverse, Organizaţia Mondială a Sănătăţii promovează ideea că adolescenţii pot utiliza orice metodă de contracepţie datorită avantajului de a preveni sarcinile nedorite, care depăşeşte riscurile utilizării lor.

Cuvinte cheie: adolescenţă, obezitate, sarcină, contracepţie

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Ingrith Miron

ASPECTS OF CONTRACEPTION AND REPRODUCTIVE HEALTH IN OBESE ADOLESCENT GIRLS

ISSN 1454-0398 | e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

Ingrith Miron, Laura-Mihaela Trandafir, Madalina Ionela Chiriac, Oana Chirila, Oana Teslaru and Smaranda Diaconescu

ABSTRACT

Unintended pregnancies are a serious problem in terms of morbidity during the adolescent years, the use of contraceptives being an important element of prevention at this age. Obese adolescent girls tend to use fewer contraceptive methods compared to normal-weight girls, excess weight being a frequent argument against the use of contraception. These girls have a high probability of carrying unintended pregnancies associated with all the risks of pregnancy and childbirth at very young ages, while also needing safer and more effective contraceptive methods. Reducing the number of pregnancies in this category is a public health priority and requires the identification of adolescent girls included in this risk category. Although there are several voices opposing contraceptive methods on account of their adverse effects, the World Health Organization champions the idea that adolescents can use any contraceptive method due to the benefit of avoided unintended pregnancies, which outbalance the risks associated with the use thereof.

Keywords: adolescent girls, obesity, pregnancy, contraception

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Ingrith Miron

DIAGNOSTIC SI TRATAMENT IN BOALA DE REFLUX GASTROESOFAGIAN – POSIBILITATI SI LIMITE

ISSN 1454-0398 | e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

ICMJE- Recommendations

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Promoting Global Health

Angelica Cristina Marin, Claudia Olaru, Gabriela Ciubotariu, Marin Burlea, Mihaela Moscalu, Nicoleta Gimiga and Smaranda Diaconescu

REZUMAT

Departajarea refluxului gastro-esofagian (RGE) fiziologic (cel mai frecvent) de boala de reflux gastro-esofagian (BRGE) în primul an de viaţă este obligatorie pentru a evita farmacoterapia agresivă. La toate vârstele
copilăriei se aplică criterii moderne de evaluare clinică, sumând simptome digestive şi/sau extradigestive şi rezultatele unor investigaţii moderne. Tratamentul igieno-dietetic (suficient in RGE fiziologic), obligatoriu în toate cazurile, şi inhibitorii de pompă protonică dupa vârsta de un an induc remisiune în majoritatea cazurilor de RGE. Evoluţia cronică/recidivantă şi rezistenţa la tratamentul comun impun intervenţia chirurgicală, domeniu îmbogaţit recent la copil cu miotomia perorală endoscopică (POEM).

Cuvinte cheie: boală de reflux gastroesofagian, inhibitori de pompă de protoni, miotomia perorală endoscopică

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Angelica Cristina Marin

DIAGNOSIS AND TREATMENT IN GASTROESOPHAGEAL REFLUX DISEASE – POSSIBILITIES AND LIMITATIONS

ISSN 1454-0398 | e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

ICMJE- Recommendations

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Promoting Global Health

Angelica Cristina Marin, Claudia Olaru, Gabriela Ciubotariu, Marin Burlea, Mihaela Moscalu, Nicoleta Gimiga and Smaranda Diaconescu

ABSTRACT

In children’s first year of life it is mandatory to make a difference between physiological gastroesophageal reflux (GER) and gastroesophageal reflux disease (GERD), in order to avoid an aggressive pharmacologic therapy. All ages of childhood benefit from modern criteria of clinical evaluation, by corroborating the digestive or extradigestive symptoms with the results of modern investigations. The dietary measures (sufficient in GER but mandatory in all cases) together with proton pump inhibitors administration after one year of age induce remission in majority of GER cases. The chronic and recurrent evolution of the disease or failure of the common treatment require surgical intervention, recently enriched in children with peroral endoscopic myotomy (POEM).

Keywords: gastroesophageal reflux disease, proton pump inhibitors, Peroral Endoscopic Myotomy

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Angelica Cristina Marin

PATTERN-URI CLINICO-DEMOGRAFICE ALE DEPRESIEI SI ANXIETATII LA COPII SI ADOLESCENTI

Revista Romana de PEDIATRIE | Volumul LXIV, Nr. 4, An 2015

ISSN 1454-0398 | e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

ICMJE- Recommendations

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Promoting Global Health

Anamaria Ciubara, Roxana Chirita, Stefan Lucian Burlea, Ancuta Ignat, Smaranda Diaconescu, Ilinca Untu and Valeriu V. Lupu

REZUMAT

Atât la adulţi cât şi în cazul populaţiei pediatrice, depresia constituie o cauză majoră de dizabilitate, suicidul fiind a treia cauză de deces în rândul copiilor şi adolescenţilor. Cu toate că depresia şi depresia cu anxietate asociată sunt unele dintre cele mai frecvente patologii psihiatrice în rândul copiilor şi adolescenţilor, având un impact puternic asupra funcţionalităţii globale a acestora şi punând o amprentă remarcabilă asupra procesului lor de dezvoltare, rămâne un domeniu insuficient explorat. Studiul de faţă îşi propune evidenţierea unor pattern-uri demografice şi clinice asociate depresiei şi anxietăţii la copii şi adolescenţi, care pot constitui premise pentru cercetări viitoare mai ample, dar şi pentru consolidarea unor metode de prevenţie primară, secundară şi terţiară.

Cuvinte cheie: depresie, anxietate, copii şi adolescenţi, suicid

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Anamaria Ciubara

CLINICO-DEMOGRAPHIC PATTERNS OF DEPRESSION AND ANXIETY IN CHILDREN AND ADOLESCENTS

ISSN 1454-0398 | e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

ICMJE- Recommendations

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Promoting Global Health

Anamaria Ciubara, Roxana Chirita, Stefan Lucian Burlea, Ancuta Ignat, Smaranda Diaconescu, Ilinca Untu and Valeriu V. Lupu

ABSTRACT

In both adults and pediatric population, depression is a major disability cause; suicide is the third death cause among children and adolescents. Whereas depression and depression with associated anxiety are among the most common psychiatric pathologies in children and adolescents (with strong impact on their global functionality and with a significant influence on their development process), they are far from studied thoroughly. This study aims to highlight certain demographic and clinical patterns associated to depression of anxiety in children and adolescents, which may represent premises for broader future research and for the consolidation of primary, secondary, and tertiary prevention methods.

Keywords: depression, anxiety, children and adolescents, suicide

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Anamaria Ciubara

RECOMANDARI PRE-PROCEDURALE IN ENDOSCOPIA DIGESTIVA LA PACIENTUL PEDIATRIC

ISSN 1454-0398 | e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

ICMJE- Recommendations

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Promoting Global Health

Smaranda Diaconescu, Gabriela Paduraru, Claudia Olaru, Nicoleta Gimiga, Camelia Soponaru, Anamaria Ciubara, Maria Bolat and Magdalena Iorga

REZUMAT

Endoscopia digestivă, una dintre cele mai frecvente investigaţii invazive în gastroenterologia pediatrică, nu este lipsită de riscuri. Complexul de măsuri necesare acestei manevre cuprinde: evaluarea corectă a bolnavului ţinând seama de indicaţiile şi contraindicaţiile endoscopiei, obţinerea consimţământului informat, pregătirea psihologică a părinţilor/copilului, aplicarea unor restricţii dietetice, profilaxia infecţiilor. De asemenea, trebuie ales tipul de anestezie, monitorizarea continuă intra şi post-procedurală pentru evitarea complicaţiilor legate de procedură sau de reacţii adverse medicamentoase.

Cuvinte cheie: anestezie, endoscopie digestivă, copil

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Smaranda Diaconescu

PRE-PROCEDURAL RECOMMENDATIONS IN PEDIATRIC GASTROINTESTINAL ENDOSCOPY

ISSN 1454-0398 | e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

Smaranda Diaconescu, Gabriela Paduraru, Claudia Olaru, Nicoleta Gimiga, Camelia Soponaru, Anamaria Ciubara, Maria Bolat and Magdalena Iorga

ABSTRACT

Gastrointestinal endoscopy is one of the most common invasive procedures carried out in pediatric gastroenterology and is not without risk. The range of necessary measures for the purpose of this procedure includes: the accurate assessment of the patient considering the endoscopy-related indications and contraindications, obtaining the informed consent, the psychological preparation of the parents/child, applying some dietary restrictions, and infection prophylaxis. It is also necessary to choose the type of sedation and ensure the constant monitoring during and after the procedure so as to avoid any complications related to the procedure or to the side effects of drugs.

Keywords: procedural sedation, gastrointestinal endoscopy, child

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Smaranda Diaconescu

ASPECTE ETICE PRIVIND RECOLTAREA SANGELUI DIN CORDONUL OMBILICAL IN SCOP DIAGNOSTIC

Revista Romana de PEDIATRIE | Volumul LXIV, Nr. 3, An 2015

ISSN 1454-0398 | e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

Elena Tataranu, Maria Stamatin, Smaranda Diaconescu, Angelica Cristina Marin, Cornelia Savescu and Marin Burlea

REZUMAT

Aprofundarea studiilor privind mecanismele genetice şi epigenetice (determinate de mediu) ale atopiei a adus dezvăluiri privind debutul intrauterin al alergiei, dovedit de prezenţa IgE în sângele cordonului ombilical. Depistarea acestor nou-născuţi şi includerea lor într-un program de îngrijiri specifice reduc morbiditatea ulterioară din cadrul marşului alergic cu efecte incontestabile asupra calităţii vieţii şi a costurilor de îngrijire medicală. Creşterea dramatică a prevalenţei atopiei în ultimele decenii sugerează importanţa determinărilor IgE în cordonul ombilical. Utilizarea în scop diagnostic a sângelui cordonului ombilical impune însă legi şi reguli clare care fac obiectul dezbaterii din prezenta lucrare.

Cuvine cheie: consimţământ informat, sânge din cordon ombilical, atopie, IgE

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Elena Tataranu

ETHICAL ASPECTS ABOUT INFORMED CONSENT IN CORD BLOOD COLLECTION FOR DIAGNOSTIC PURPOSES

ISSN 1454-0398 | e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

ICMJE- Recommendations

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Promoting Global Health

Elena Tataranu, Maria Stamatin, Smaranda Diaconescu, Angelica Cristina Marin, Cornelia Savescu and Marin Burlea

ABSTRACT

Deepening the knowledge about genetic and epigenetic mechanisms studies (environmental caused) regarding atopy, brought revelations about intrauterine onset of allergies, proven by the presence of IgE in umbilical cord blood. Detection of these newborns and their inclusion in a specific care program further reduces the morbidity of allergic march with the undeniable effects on quality of life and healthcare costs. The dramatic increase in the prevalence of atopy in recent decades suggests the importance of IgE in umbilical cord determinations. The use of umbilical cord blood for diagnostic purposes requires clear laws and rules and this is the subject we suggest to debate in this paper.

Keywords: informed consent, cord blood, atopy, IgE

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Elena Tataranu

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